Managing insomnia in the elderly - what prevents us using non-drug options?
Managing insomnia in the elderly - what prevents us using non-drug options?
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DOI：
10.1046/j.0269-4727.2003.00523.x
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发表时间：
2003-12-01
影响因子：
2
通讯作者：
Roughead, EE
中科院分区：
文献类型：
--
作者：
Dollman, WB;LeBlanc, VT;Roughead, EE
目的：为了确定战略需要增加使用非药物干预措施在老年人失眠的管理。方法：问卷调查邮寄给425全科医生（全科医生）在南澳大利亚州南部司的全科医生。为了提供一个消费者的角度来看，16个老年人参加焦点groups.Results：从209全科医生的反应显示，非药物策略在失眠症管理的作用是众所周知的，但访问和这些策略的有用性是鲜为人知的。全科医生对病人对药物的期望的看法是最大的障碍。患者询问其他选择，患者愿意考虑替代品，为患者提供关于非药物选择的印刷信息，以及在咨询期间遵循的分步程序被认为是有利因素。大多数消费者报告了睡眠问题，但认为全科医生无法帮助他们解决睡眠问题。与全科医生的看法相反，消费者表示有兴趣在替代治疗和愿意参加教育sessions.Conclusions：战略，以增加非药物替代品的使用需要提供全科医生的信息，获得和有用的，非药物策略。消费者需要同时接受教育，告诉他们全科医生可以帮助管理失眠，他们需要表达愿意尝试非药物策略。全科医生和消费者之间的有效沟通至关重要。
Objective: To identify strategies needed to increase use of non-drug interventions in the management of insomnia in the elderly.Methods: A questionnaire was mailed to 425 general practitioners (GPs) in the South Australian Southern Division of General Practice. To provide a consumer perspective, 16 older persons attended focus groups.Results: Responses from 209 GPs showed the role of non-drug strategies in insomnia management was widely known, however access to and the usefulness of these strategies was less well known. GPs' perceptions of patients' expectations regarding medication were the greatest barrier. Patient inquiries about other options, patients' willingness to consider alternatives, printed information for patients on non-drug options, and step-by-step procedures to follow during consultations were considered enabling factors. Most consumers reported problems with sleeping but thought the GP could not help them with their sleep problems. In contrast to GPs' perceptions, consumers expressed interest in alternative treatments and willingness to participate in education sessions.Conclusions: Strategies to increase the use of non-drug alternatives need to provide GPs with information on access to, and the usefulness of, non-drug strategies. Consumers need concurrent education to inform them that GPs can help manage insomnia, and that they need to express willingness to trial non-drug strategies. Effective communication between GPs and consumers is paramount.